Active NPI
Villa Holistic Caregivers, LLC
- Nursing Care Agency
- Chicago, IL
National Provider Identifier
1720749856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- VILLA HOLISTIC CAREGIVERS, LLC
- Practice address
- 4001 W Devon Ave Ste 412
Chicago, IL 60646-4539 - Phone
- (217) 480-0375
- Fax
- (708) 320-2883
- NPI assigned
- Dec 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mwenya Mulenga, RN
- Title
- Ceo
- Phone
- (217) 480-0375
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
4001 W Devon Ave Ste 412
Chicago, IL 60646-4539
Mailing address
4001 W Devon Ave Ste 412
Chicago, IL 60646-4539
Phone (217) 480-0375
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1720749856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 W DEVON AVE STE 412",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606464539",
"telephone_number": "217-480-0375",
"fax_number": "708-320-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 W DEVON AVE STE 412",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606464539",
"telephone_number": "217-480-0375",
"fax_number": "708-320-2883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLA HOLISTIC CAREGIVERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-30",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "MULENGA",
"authorized_official_first_name": "MWENYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "217-480-0375",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.